CLARKSVILLE PHYSICIAN SERVICES LLC – NPI #1083657829
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CLARKSVILLE PHYSICIAN SERVICES LLC is a provider located in CLARKSVILLE, TN. NPPES has assigned the NPI number 1083657829 to CLARKSVILLE PHYSICIAN SERVICES LLC on June 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Feb 04, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARKSVILLE PHYSICIAN SERVICES LLC below.

NPI Profile for
CLARKSVILLE PHYSICIAN SERVICES LLC

NPI Number
1083657829
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARKSVILLE PHYSICIAN SERVICES LLC
Primary location
651 DUNLOP LN
CLARKSVILLE, TN 37040-5015
Phone: (931) 502-5080 Fax: (931) 502-5081
1 Other location(s):
647 Dunlop Ln Ste 203
Clarksville, TN 37040-5165
Phone: (931) 502-3700
Fax: (931) 502-3705
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 37215-2691
Phone: (470) 351-0247 Fax: (615) 875-8618
Organization Subpart
No
Authorized Official
WENDY MONACI
VICE PRESIDENT
Phone: (470) 351-0247
Updated
Certification Date
Feb 04, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLARKSVILLE PHYSICIAN SERVICES LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTN37330061
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.